Organization
TRAUMA RECOVERY PSYCHOTHERAPY SERVICES HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVON PETERSEN MSW, LCSW, MPH (PSYCHOTHERAPIST/OWNER)
(808) 798-5278
Entity
Organization
Contact information
Practice address
95-1507 AINAMAKUA DR APT 30, MILILANI, HI 96789-4406
(808) 829-1717
Mailing address
95-1507 AINAMAKUA DR APT 30, MILILANI, HI 96789-4406
(808) 829-1717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
09/20/2024
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